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Forensic Medicine · Cause-of-death certification
Sample itemIn a medical certificate of cause of death, what is the underlying cause of death?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. The disease or injury that initiated the fatal sequence
The underlying cause is the disease or injury that began the chain of events resulting in death. A terminal mechanism alone does not explain why the death occurred.
Option by option
A. The disease or injury that initiated the fatal sequence (correct)
Correct. It identifies the initiating condition in the causal sequence.
B. The location where the body was found
Location is not a medical cause of death.
C. Any unrelated chronic condition
Unrelated conditions should not be placed in the causal chain.
D. The terminal mechanism such as cardiac arrest
Cardiac arrest is a terminal mechanism, not a complete cause.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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